True or false: Acute respiratory failure can involve inadequate oxygenation, inadequate ventilation, or both.
3 Acute Respiratory Failure Online Quiz Questions
Use this free practice quiz with 20 questions to review 3 Acute Respiratory Failure, test your knowledge, and prepare for your next test or exam.
What PaO₂ threshold, in mm Hg, can support a diagnosis of acute respiratory failure when the value is below that threshold?
A patient with pneumonia develops diffuse lung opacities and a PaO₂ of 52 mm Hg despite supplemental oxygen. Which type of respiratory failure is most likely, and what mechanism may be contributing?
- A
Hypercapnic failure from reduced respiratory drive
- B
Hypoxemic failure from impaired gas exchange
- C
Hypercapnic failure from metabolic alkalosis
- D
Hypoxemic failure from excessive alveolar ventilation
Which conditions are identified as possible causes of hypoxemia? Select all that apply.
- A
Pneumonia
- B
Pulmonary edema
- C
Atelectasis
- D
Pulmonary embolism
- E
Acute respiratory distress syndrome (ARDS)
- F
Opioid-related reduction in respiratory drive
With acidemia, what PaCO₂ threshold, in mm Hg, can support a diagnosis of acute respiratory failure when the value is above that threshold?
An ABG shows pH 7.28, PaCO₂ 60 mm Hg, and HCO₃⁻ 26 mEq/L. Which interpretation best fits these results?
- A
Acute respiratory acidosis with hypercapnia
- B
Metabolic alkalosis with compensation
- C
Respiratory alkalosis
- D
Normal acid–base status
True or false: A PaCO₂ value should always be interpreted without considering the patient’s baseline or prior results.
- A
True
- B
False
A patient has a low oxygen saturation and suspected acute respiratory failure. Which approach best evaluates the problem while initial treatment begins?
- A
Obtain a chest radiograph and, when indicated, an ABG; assess the likely cause and treat hypoxemia without delaying for test results.
- B
Wait for an ABG before giving oxygen.
- C
Use pulse oximetry alone to determine the cause.
- D
Order a chest radiograph only if the oxygen saturation is normal.
Which findings in a patient with worsening shortness of breath can signal respiratory deterioration and call for prompt reassessment? Select all that apply.
- A
Restlessness
- B
Confusion
- C
Tachypnea
- D
Diaphoresis
- E
Accessory-muscle use
- F
A stable breathing pattern without increased work of breathing
True or false: Needed oxygen should be withheld from a patient solely because the patient’s CO₂ is elevated.
- A
True
- B
False
When noninvasive ventilation is used for a selected patient with COPD exacerbation and acute respiratory acidosis, it requires for response or deterioration.
Along with oxygenation and ventilation trends, airway security, and ordered parameters, ongoing care of a mechanically ventilated patient includes monitoring patient–ventilator .
A patient with a COPD exacerbation is alert and cooperative but has respiratory distress and acute respiratory acidosis. Which treatment may be appropriate if there are no contraindications?
- A
Noninvasive ventilation (NIV), with close reassessment for response or deterioration
- B
Withhold oxygen because CO₂ is elevated.
- C
Use NIV regardless of consciousness or ability to protect the airway.
- D
Delay treatment until the PaCO₂ returns to normal spontaneously.
A mechanically ventilated patient suddenly becomes hypoxemic and distressed. Describe the nurse’s immediate response, including patient assessment, equipment checks, and escalation.
A PaO₂ below what threshold, in mm Hg, can support a diagnosis of acute respiratory failure when interpreted in clinical context?
A patient with worsening shortness of breath is restless, diaphoretic, tachypneic, and using accessory muscles, then becomes confused. What is the priority response?
- A
Encourage oral fluids and reassess at the next scheduled check.
- B
Reassess respiratory status and oxygenation immediately, provide prescribed oxygen, and escalate care.
- C
Ask the patient to walk to assess exercise tolerance.
- D
Wait for the next scheduled vital-sign check before intervening.
A patient has low oxygen saturation and suspected acute respiratory failure. Which approach best evaluates the problem while initial treatment begins?
- A
Obtain a chest radiograph and, when indicated, an ABG; assess the likely cause and treat hypoxemia without delaying for test results.
- B
Wait for an ABG before giving oxygen.
- C
Use pulse oximetry alone to determine the cause.
- D
Order a chest radiograph only if the oxygen saturation is normal.
A patient becomes hypoventilated after receiving an opioid. If respiratory failure develops, which classification and mechanism best fit?
- A
Hypoxemic failure from impaired oxygen transfer
- B
Hypoxemic failure from excessive alveolar ventilation
- C
Hypercapnic failure from reduced respiratory drive
- D
Hypercapnic failure from improved alveolar ventilation
A patient with a COPD exacerbation is alert and cooperative but has respiratory distress and acute respiratory acidosis. What type of respiratory support may be appropriate if there are no contraindications?
A mechanically ventilated patient suddenly becomes hypoxemic and distressed. What should the nurse do first?
- A
Assess the patient and airway, check oxygen delivery and ventilator connections, and call for immediate help while intervening within scope and local protocol.
- B
Silence the alarm and leave the room to find the respiratory therapist.
- C
Increase ventilator settings without assessment or authorization.
- D
Disconnect the ventilator and wait for the alarm to stop.
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